Organization
THE GROVE PRIMARY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J WYSOR (PRESIDENT)
(731) 695-3537
Entity
Organization
Contact information
Practice address
702 S MAIN ST, MIDDLETON, TN 38052-3615
(731) 376-1311
(731) 376-1314
Mailing address
702 S MAIN ST, MIDDLETON, TN 38052-3615
(731) 376-1311
(731) 376-1314
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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